Class 2 Resps Flashcards
when does the resp system of the child mature
matures at around 8 and fully matures by age 12
What are the key differences between the adult and child respiratory tract
-Small nares
-Large tongues
-Floppy Epiglottis
-Smaller airways
-underdeveloped muscles
What are the most important elements of a pediatric respiratory assessment
-Observation
-Rate
-Effort
-Sounds
-O2 Sats
what should the resp rate be for a newborn to 6 months
30-60
What should the resp rate be for a child 6 months to 2 yrs
25-30
what should the resp rate be for a child 3-10 yrs old
20-28
what should the resp rate be for a child above 10 yrs
12-20
childs do have irregular resp rates but when is it considered apnea in a child
if they hold their breath for longer the 20 sec
What is croup
An infection of the upper airway that causes a barking cough; can be the result of many different viruses
Is croup usually caused by bacteria or virus
Usually viral
What is the most common cause of mild croup
Viral spasmodic laryngitis
What is the most common cause of moderate to severe cases of croup
laryngotracheobronchitis
How are mild cases of croup treated
-breathing cool air so can take the child outdoors at night
-comfort care
-fluids
(Nothing to specific since its viral and not that serious so can just provide comfort and wait)
How are severe cases of croup treated
-IV fluids (since they probably won’t be able to drink)
-Corticosteroids
-Supplemental O2
-Nebulized epi
What is the most common cause of epiglottitis
H. influenzae type B BACTERIA
What are the 4 cardinal signs of epiglottitis
-Drooling
-Dysphagia (difficulty swallowing
-Dysphonia (trouble talking)
-Distress
What are components of treatment for epiglottitis
-Steroids
-Antibiotics
-1:1 nursing since they are relatively unstable
How do you confirm a diagnosis of epiglottitis
X-ray
is epiglottitis a medical emergency
Yes
Could you leave a child alone who has epiglottitis
NO they have to be constantly monitored since they are so unstable
What is bronchiolitis
Viral infection of the lower airways which causes the bronchioles to swell and fill with mucus which results in coughing and wheezing
what age group is most susceptible to bronchiolitis
usually in children under 2 and mostly between the ages of 3-6 months
what is the virus that most commonly causes bronchiolitis
Respiratory Syncytial Virus
how long does bronchiolitis usually last for and when is its peak
lasts for about 8-15 days and peaks at around 7
